Introduction: The family planning policy aims to bring women in sexual activity to the use of modern methods of contraception. But, despite the many initiatives aimed at this improvement, modern contraceptive prevalence is still low. The objective of this study was to evaluate the knowledge and practices of contraception by the inhabitants of Kansele Health Zone. Methods: Our study was cross-sectional with an analytical focus on 249 randomly selected subjects and over a period from July 30 to September 30, 2021. The survey method and interview technique, as well as the questionnaire as an instrument were used to collect the data. The univariate and bivariate analysis was performed and the odds ratios with their 95% CIs were calculated. The significance level was set at p < 0.05. Results: The majority of respondents were in the age group of 21 to 26 years (38.55%). The female sex was predominant (87.95%); there were many participants with good knowledge (92.37%), but only half of the respondents, i.e. 51.30%, had used contraceptive methods during the last 12 months. The following variables were associated with low contraceptive use: occupation (OR = 2.6633, IC [1.4240; 4.7100], p = 0.0421); the level of study (OR = 2.4922, IC [1.4672; 4.2673], p = 0.0003) and the desired inter-birth interval (OR = 2.0221, IC [1.321; 4.147], p = 0.0386). Conclusion: Improvement in modern contraceptive practice in the Kansele health zone (city of Mbujimayi) must necessarily go through an ambitious and well-coordinated program. This program should focus on raising awareness, coupled with offering a wide range of contraceptive products at affordable costs.
Cite this paper
Mpela, E. A. , Bukasa, A. K. , Bukasa, M. T. , Marie-Claire, O. O. , Kumona, V. B. , Badibake, A. T. , Bolotsi, A. N. , Novi, N. K. , Alindekane, M. L. , Rose, N. M. and Ntumba, M. (2023). Knowledge and Practice of Contraception by the Inhabitants of the Health Zone of Kansele, City of Mbujimayi, Democratic Republic of Congo. Open Access Library Journal, 10, e641. doi: http://dx.doi.org/10.4236/oalib.1110641.
Organisation mondiale de la Santé (2018) Espacement des naissances et choix en matière de méthodes de planification familiale du post-partum—Outil de counseling. Genève.
https://apps.who.int/iris/bitstream/handle/10665/328163/WHO-RHR-18.38-fre.pdf?ua=1
GRACE DANN (2013) La conduite sexuelle et l’utilisation de contraceptifs parmi les jeunes en Afrique de l’Ouest.
https://www.prb.org/wp-content/uploads/2021/02/west-africa-family-planning_fr.pdf
Direction Nationale Population et Développement (2020) Les Déterminants de la Planification Familiale et du Dividende démographique en Guinée.
https://www.stat-guinee.org/images/Documents/Publications/SSN/mpde/rapport_final_dterminants_PF_DD_Guine_CORRIGE_20_07_2020.pdf
World Health Organization and Johns Hopkins Bloomberg School of Public Health (2018) Family Planning: A Global Handbook for Providers.
https://apps.who.int/iris/bitstream/handle/10665/260156/9780999203705-eng.pdf?sequence=1
Organisation mondiale de la Santé (2021) Des services de santé de qualité: Un guide de planification. Organisation mondiale de la Santé.
https://apps.who.int/iris/handle/10665/345385
Fonds des Nations Unies pour la population (UNFPA) (2013) Le Rapport sur le statut des adolescents et des jeunes en Afrique subsaharienne: Possibilités et enjeux.
https://www.adeanet.org/fr/system/files/rapport_adolescents_et_jeunes_en_afrique_subsaharienne.pdf
UNFPA et le Population Reference Bureau (2014) Le Rapport sur le statut des adolescents et des jeunes en Afrique subsaharienne: Possibilités et enjeux.
https://www.adeanet.org/fr/system/files/rapport_adolescents_et_jeunes_en_afrique_subsaharienne.pdf
United Nations, Department of Economic and Social Affairs, Population Division (2017) Family Planning and the 2030 Agenda for Sustainable Development. United Nations, New York.
https://www.un.org/en/development/desa/population/publications/pdf/family/familyPlanning_DataBooklet_2019.pdf
Mariko, S., Ayad, M., Hong, R., Kéïta, O. and Diop, M. (2009) Pratique contraceptive et importance des besoins non satisfaits en matière de planification familiale au Mali, de1995 à 2006: Analyses approfondies des Enquêtes Démographiques et de Santé au Mali, 1995-1996, 2001 et 2006. Rapports d’analyses approfondies des EDS No. 69. CPS/DNSI et ICF Macro, Calverton.
https://www.dhsprogram.com/pubs/pdf/FA69/FA69.pdf
Mbacké Leye, M.M., Faye, A., Diongue, M., Wone, I., Seck, I., Ndiaye, P. and Tal Dia, A. (2015) Déterminants de l’utilisation de la contraception moderne dans le district sanitaire de Mbacké (Sénégal). Santé Publique, 27, 107-116.
https://doi.org/10.3917/spub.151.0107
Matungulu, C.M., Kandolo, S.I., Mukengeshayi, A.N., Nkola, A.M., Mpoyi, D.I., Mumba, S.K., Kabamba, J.N., Cowgill, K. and Kaj, F.M. (2015) Déterminants de l’utilisation des méthodes contraceptives dans la zone de santé Mumbunda à Lubumbashi, République Démocratique du Congo. Pan African Medical Journal, 22, Article No. 329. https://doi.org/10.11604/pamj.2015.22.329.6262
Ntambue, A.M., Tshiala, R.N., Malonga, F.K., Ilunga, T.M., Kamonayi, J.M., Kazadi, S.T., Matungulu, C.M., Musau, A.N., Mulamba, D., Dramaix-Wilmet, M. and Donnen, P. (2017) Utilisation des méthodes contraceptives modernes en République Démocratique du Congo: Prévalence et barrières dans la zone de santé de Dibindi à Mbuji-Mayi. Pan African Medical Journal, 26, Article No. 199.
https://doi.org/10.11604/pamj.2017.26.199.10897
Cleland, J. and Shah, I.H. (2013) The Contraceptive Revolution: Focused Efforts Are Still Needed. The Lancet, 381, 1604-1606.
https://doi.org/10.1016/S0140-6736(13)60588-7
Ministère De La Sante Publique RDC (2013) Planification Familiale: Plan Stratégique National à vision multisectorielle (2014-2020).
http://www.familyplanning-drc.net/docs/Final%20Plan%20Strategique%20version%20officielle.pdf
Katoka Fuanda (2017) Déterminants de la faible utilisation des méthodes contraceptives modernes chez les femmes en age de procréer: Cas de la zone de sante de Gombe matadi. Mémoire de Spécialiste en Santé Publique, Ecole De Sante Publique, Université De Kinshasa, République Démocratique Du Congo.
Bijlmakers, L., et al. (2012) Pratique contraceptive et la contribution des activités de planification familiale au Mali. Une étude dans le cadre de la coopération malienne-néerlandaise.
https://www.researchgate.net/publication/286259477_Pratique_contraceptive_et_la_contribution_des_activites_de_planification_familiale_au_Mali_-_Etude_dans_le_cadre_de_la_cooperation_malienne_-_neerlandaise
Pilon, M. and Guillaume, A. (2000) Maitrise de la fecondite et planification familiale au Sud: Actes des Ve Journeés demographiques de l’IRD, Paris, 28-30 septembre 1994. Editions IRD.
Lenan Ganguinon (2009) Les facteurs explicatifs de la non-utilisation des méthodes contraceptives modernes par les femmes au Tchad. Mémoire de master professionnel en démographie. Institut de Formation et de Recherche Démographiques (IFORD). https://ireda.ceped.org/inventaire/ressources/lenan_ganguignon2009.pdf
Heward-Mills, N.L., Atuhaire, C., Spoors, C., Pemunta, N.V., Priebe, G. and Cumber, S.N. (2018) The Role of Faith Leaders in Influencing Health Behaviour: A Qualitative Exploration on the Views of Black African Christians in Leeds, United Kingdom. Pan African Medical Journal, 30, Article No. 199.
https://doi.org/10.11604/pamj.2018.30.199.15656
Karam, A., Clague, J., Marshall, K. and Olivier, J. (2015) The View from Above: Faith and Health. The Lancet, 386, e22-e24.
https://doi.org/10.1016/S0140-6736(15)61036-4
Olivier, J., Tsimpo, C., Gemignani, R., Shojo, M., Coulombe, H., Dimmock, F., Nguyen, M.C., Hines, H., Mills, E.J., Dieleman, J.L., Haakenstad, A. and Wodon, Q. (2015) Understanding the Roles of Faith-Based Health-Care Providers in Africa: Review of the Evidence with a Focus on Magnitude, Reach, Cost, and Satisfaction. The Lancet, 386, 1765-1775. https://doi.org/10.1016/S0140-6736(15)60251-3
Ruark, A., Kishoyian, J., Bormet, M. and Huber, D. (2019) Increasing Family Planning Access in Kenya through Engagement of Faith-Based Health Facilities, Religious Leaders, and Community Health Volunteers. Global Health: Science and Practice, 7, 478-490. https://doi.org/10.9745/GHSP-D-19-00107
Katherine Marshall, World Faiths Development Dialogue (2015) L’engagement religieux dans les politiques de la planification famil-iale. Une expérience dans six pays majoritairement musulmans.
https://berkleycenter.georgetown.edu/publications/religious-engagement-in-family-planning-policies
Musimwa, B., Bisusa, C., Musimwa, M.M.B., Bisusa, C. and Maroyi, M. (2014) Problématique de la non-intégration du planning familial et ses conséquences sur le développement des ménages dans les entités rurales de Kabare Nord. International Journal of Innovation and Applied Studies, 9, 989-997.
https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.685.7105&rep=rep1&type=pdf
Mpunga, D.M., Chenge, F.M., Mapatano, M.A., Mambu, T.N.M. and Wembodinga, G.U. (2021) Connaissances, attitudes et pratiques des adolescents et des enseignants en matière de contraception: Résultats dune étude qualitative réalisée en République Démocratique du Congo. Pan African Medical Journal, 38, Article No. 121.
https://doi.org/10.11604/pamj.2021.38.121.21678
Ho, L.S. and Wheeler, E. (2018) Using Program Data to Improve Access to Family Planning and Enhance the Method Mix in Conflict-Affected Areas of the Democratic Republic of the Congo. Global Health. Science and Practice, 6, 161-177.
https://doi.org/10.9745/GHSP-D-17-00365
Yoost, J. (2014) Understanding Benefits and Addressing Misperceptions and Barriers to Intrauterine Device Access among Populations in the United States. Patient Preference and Adherence, 8, 947-957. https://doi.org/10.2147/PPA.S45710
Onokerhoraye, A.G. and Dudu, J.E. (2017) Perception of Adolescents on the Attitudes of Providers on Their Access and Use of Reproductive Health Services in Delta State, Nigeria. Health, 9, 88-105. https://doi.org/10.4236/health.2017.91007
Mustafa, G., Azmat, S.K., Hameed, W., Ali, S., Ishaque, M., Hussain, W., Ahmed, A. and Munroe, E. (2015) Family Planning Knowledge, Attitudes, and Practices among Married Men and Women in Rural Areas of Pakistan: Findings from a Qualitative Need Assessment Study. International Journal of Reproductive Medicine, 2015, Article ID: 190520. https://doi.org/10.1155/2015/190520
N’guessan, E., Gbeli, F., Dia, J.M. and Guie, P. (2019) Pratiques contraceptives des femmes infectées par le VIH suivies en ambulatoire au Centre Hospitalier Universitaire de Treichville (Abidjan, Côte d’Ivoire). Pan African Medical Journal, 33, Article No. 79. https://doi.org/10.11604/pamj.2019.33.79.16435
Marlow, H.M., Maman, S., Moodley, D., Curtis, S. and McNaughton Reyes, L. (2015) HIV Status and Postpartum Contraceptive Use in an Antenatal Population in Durban, South Africa. Contraception, 91, 39-43.
https://doi.org/10.1016/j.contraception.2014.09.007
Bakyono, R., Tapsoba, L.D.G., Lépine, A., Berthé, A., Ilboudo, P.G., Diallo, C.O., Méda, N. and D’Exelle, B. (2020) Utilisation des contraceptifs par les femmes rurales mariées ou en concubinage au Burkina Faso: Une analyse qualitative de l’utilisation d’un bon gratuit. Pan African Medical Journal, 37, Article No. 72.
https://doi.org/10.11604/pamj.2020.37.72.23786
Coulibaly, M., et al. (2019) Obstacles socioculturels liés à l’utilisation de la contraception moderne en Côte d’Ivoire. Santé Publique, 32, 389-397.
https://www.cairn.info/revue-sante-publique-2020-4-page-389.html
https://doi.org/10.3917/spub.204.0389
